Amyand's hernia with perforated appendix in a neonate

Abstract

Inguinal hernia with acute appendicitis known as Amyand's hernia is uncommon. It occurs mostly in adults, older children and infants. The appendix inside the hernial sac is rarely perforated. The authors describe in a neonate aged 14 days an unusual case of inguinal hernia containing a perforated appendix that was clinically considered as a strangulated inguinal hernia. Surgery performed with an inguinal approach permitted us to remove the appendix and close the hernial sac. The postoperative course was uneventful after a follow-up of 1 year.

Left-Sided Amyand Hernia: Report of Two Cases with Review of Literature

“…Majority were with signs of incarcerated, obstructed, or strangulated IH with or without signs and symptoms of AA. 3 4 However, some cases may present incidentally during an operation for IH, others may present with a scrotal abscess, testicular ischemia, or acute scrotum. 10 11 12 …”

“…Patients with AH usually present with symptoms and signs of complicated IH, 3 4 that is why it is usually diagnosed intraoperatively. 5 6 Apart from hernial repair, if the VA is grossly not inflamed, debate continues in the surgical literature regarding the advisability of, or otherwise, incidental appendectomy in the course of the surgical procedure.…”

Neonatal Appendicitis (Part 2): A Review of 24 cases with Inguinoscrotal Manifestation

“…[9] Finally, she culled 24 cases suitable for analysis. [3,[10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]…”

First sliding Amyand hernia harbouring appendicular schistosomiasis: Case report

“…The clinical picture of AH depends on whether the appendix progresses to inflammation (≈0.1% of appendicitis cases) [3], or is further incarcerated leading to strangulation and perforation [4]. AH occurs mostly in males [5], at all ages [6]. Moreover, schistosomiasis of the appendix is rare even in endemic areas [7].…”